{"id":170757,"date":"2015-06-28T04:40:00","date_gmt":"2015-06-28T11:40:00","guid":{"rendered":"https:\/\/www.hometownhealth.com\/divulgacion-del-proveedor\/"},"modified":"2024-10-22T16:03:53","modified_gmt":"2024-10-22T23:03:53","slug":"divulgacion-del-proveedor","status":"publish","type":"page","link":"https:\/\/www.hometownhealth.com\/es\/vision-general-del-proveedor\/divulgacion-del-proveedor\/","title":{"rendered":"Divulgaci\u00f3n del proveedor"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"170757\" class=\"elementor elementor-170757 elementor-3785\" data-elementor-settings=\"{&quot;element_pack_global_tooltip_width&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_width_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:[]},&quot;element_pack_global_tooltip_padding&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_padding_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_tablet&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true},&quot;element_pack_global_tooltip_border_radius_mobile&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;top&quot;:&quot;&quot;,&quot;right&quot;:&quot;&quot;,&quot;bottom&quot;:&quot;&quot;,&quot;left&quot;:&quot;&quot;,&quot;isLinked&quot;:true}}\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1d72cfc e-flex e-con-boxed e-con e-parent\" data-id=\"1d72cfc\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-961120a e-con-full e-flex e-con e-child\" data-id=\"961120a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8239481 elementor-widget elementor-widget-heading\" data-id=\"8239481\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Divulgaci\u00f3n del proveedor<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2594226 elementor-widget elementor-widget-heading\" data-id=\"2594226\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Para nuestros proveedores<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2a396b3 e-flex e-con-boxed e-con e-parent\" data-id=\"2a396b3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-b119281 e-con-full e-flex e-con e-child\" data-id=\"b119281\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-38e7434 elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"38e7434\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;vertical&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;svg aria-hidden=\\&quot;true\\&quot; class=\\&quot;e-font-icon-svg e-fas-caret-down\\&quot; viewBox=\\&quot;0 0 320 512\\&quot; xmlns=\\&quot;http:\\\/\\\/www.w3.org\\\/2000\\\/svg\\&quot;&gt;&lt;path d=\\&quot;M31.3 192h257.3c17.8 0 26.7 21.5 14.1 34.1L174.1 354.8c-7.8 7.8-20.5 7.8-28.3 0L17.2 226.1C4.6 213.5 13.5 192 31.3 192z\\&quot;&gt;&lt;\\\/path&gt;&lt;\\\/svg&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-vertical e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-38e7434\" class=\"elementor-nav-menu sm-vertical\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-173762\"><a href=\"https:\/\/www.hometownhealth.com\/es\/vision-general-del-proveedor\/\" class=\"elementor-item\" data-wpel-link=\"internal\">Visi\u00f3n general del proveedor<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-173763\"><a href=\"https:\/\/www.hometownhealth.com\/es\/vision-general-del-proveedor\/biblioteca-de-documentos-de-cumplimiento-de-proveedores\/\" class=\"elementor-item\" data-wpel-link=\"internal\">Biblioteca de documentos de cumplimiento de proveedores<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-173764\"><a href=\"https:\/\/www.hometownhealth.com\/es\/vision-general-del-proveedor\/divulgacion-del-proveedor\/\" class=\"elementor-item\" data-wpel-link=\"internal\">Divulgaci\u00f3n del proveedor<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Alternar men\u00fa\" aria-expanded=\"false\">\n\t\t\t<svg aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open e-font-icon-svg e-eicon-menu-bar\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M104 333H896C929 333 958 304 958 271S929 208 896 208H104C71 208 42 237 42 271S71 333 104 333ZM104 583H896C929 583 958 554 958 521S929 458 896 458H104C71 458 42 487 42 521S71 583 104 583ZM104 833H896C929 833 958 804 958 771S929 708 896 708H104C71 708 42 737 42 771S71 833 104 833Z\"><\/path><\/svg><svg aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close e-font-icon-svg e-eicon-close\" viewBox=\"0 0 1000 1000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M742 167L500 408 258 167C246 154 233 150 217 150 196 150 179 158 167 167 154 179 150 196 150 212 150 229 154 242 171 254L408 500 167 742C138 771 138 800 167 829 196 858 225 858 254 829L496 587 738 829C750 842 767 846 783 846 800 846 817 842 829 829 842 817 846 804 846 783 846 767 842 750 829 737L588 500 833 258C863 229 863 200 833 171 804 137 775 137 742 167Z\"><\/path><\/svg>\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-38e7434\" class=\"elementor-nav-menu sm-vertical\"><li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-173762\"><a href=\"https:\/\/www.hometownhealth.com\/es\/vision-general-del-proveedor\/\" class=\"elementor-item\" tabindex=\"-1\" data-wpel-link=\"internal\">Visi\u00f3n general del proveedor<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-173763\"><a href=\"https:\/\/www.hometownhealth.com\/es\/vision-general-del-proveedor\/biblioteca-de-documentos-de-cumplimiento-de-proveedores\/\" class=\"elementor-item\" tabindex=\"-1\" data-wpel-link=\"internal\">Biblioteca de documentos de cumplimiento de proveedores<\/a><\/li>\n<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-173764\"><a href=\"https:\/\/www.hometownhealth.com\/es\/vision-general-del-proveedor\/divulgacion-del-proveedor\/\" class=\"elementor-item\" tabindex=\"-1\" data-wpel-link=\"internal\">Divulgaci\u00f3n del proveedor<\/a><\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-b0a2887 e-con-full e-flex e-con e-child\" data-id=\"b0a2887\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ec3c7ac elementor-widget elementor-widget-heading\" data-id=\"ec3c7ac\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-xl\">Divulgaci\u00f3n del proveedor<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4723b23 elementor-widget elementor-widget-text-editor\" data-id=\"4723b23\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Hometown Health reembolsa a los proveedores seg\u00fan sus pol\u00edticas de pago est\u00e1ndar. Al desarrollar sus pol\u00edticas de pago est\u00e1ndar, tenemos en cuenta las tendencias y avances actuales en asistencia sanitaria, as\u00ed como la informaci\u00f3n procedente de distintas fuentes, incluidas, entre otras, las preguntas y comentarios de los proveedores, las directrices de los <a href=\"https:\/\/www.cms.gov\/\" data-wpel-link=\"external\" rel=\"external noopener noreferrer\">Centros de Servicios de Medicare y Medicaid<\/a>, las directrices de la AMA, el Asistente de CPT, la Iniciativa de Codificaci\u00f3n Correcta y las sociedades m\u00e9dicas especializadas. Sin embargo, las pol\u00edticas de pago est\u00e1ndar de Hometown Health pueden diferir de las pol\u00edticas adoptadas, aprobadas o recomendadas por alguna o todas esas fuentes.  <\/p>\n<p>Hometown Health utiliza una herramienta automatizada de auditor\u00eda de c\u00f3digos en su sistema de procesamiento de reclamaciones. Esta herramienta de auditor\u00eda de c\u00f3digos incorpora ediciones basadas en las pol\u00edticas de pago est\u00e1ndar de Hometown Health. Si una reclamaci\u00f3n presentada para su pago no se ajusta a las pol\u00edticas de pago est\u00e1ndar de Hometown Health, podemos denegar o suspender el pago de la reclamaci\u00f3n total o parcialmente. El acceso a la informaci\u00f3n sobre las ediciones aplicadas durante el procesamiento de las reclamaciones est\u00e1 disponible a trav\u00e9s de Clear Claim Connection, accesible a trav\u00e9s de <a href=\"https:\/\/healthconnect.com\" data-wpel-link=\"external\" rel=\"external noopener noreferrer\">HealthConnect<\/a> 24 horas al d\u00eda, 7 d\u00edas a la semana.   <\/p>\n<p>En caso de conflicto entre las pol\u00edticas de pago est\u00e1ndar de Hometown Health y una edici\u00f3n automatizada, prevalecer\u00e1n las pol\u00edticas de pago est\u00e1ndar de Hometown Health. Adem\u00e1s, todas las decisiones de pago est\u00e1n sujetas a todos los t\u00e9rminos y condiciones del plan de prestaciones aplicable, incluidas las exclusiones y limitaciones espec\u00edficas, y a todas las leyes estatales y\/o federales aplicables. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Divulgaci\u00f3n del proveedor Para nuestros proveedores Divulgaci\u00f3n del proveedor Hometown Health reembolsa a los proveedores seg\u00fan sus pol\u00edticas de pago est\u00e1ndar. Al desarrollar sus pol\u00edticas de pago est\u00e1ndar, tenemos en cuenta las tendencias y avances actuales en asistencia sanitaria, as\u00ed como la informaci\u00f3n procedente de distintas fuentes, incluidas, entre otras, las preguntas y comentarios de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":170767,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_fb_img":"","_seopress_social_fb_img_attachment_id":0,"_seopress_social_fb_img_width":0,"_seopress_social_fb_img_height":0,"_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_seopress_social_twitter_img":"","_seopress_social_twitter_img_attachment_id":0,"_seopress_social_twitter_img_width":0,"_seopress_social_twitter_img_height":0,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"","_seopress_redirections_param":"","_seopress_redirections_type":0,"_seopress_analysis_target_kw":"","_seopress_news_disabled":"","_seopress_video_disabled":"","_seopress_video":[],"_seopress_pro_schemas_manual":[],"_seopress_pro_rich_snippets_disable_all":"","_seopress_pro_rich_snippets_disable":[],"_seopress_pro_schemas":[],"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"class_list":["post-170757","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/pages\/170757","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/comments?post=170757"}],"version-history":[{"count":0,"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/pages\/170757\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/pages\/170767"}],"wp:attachment":[{"href":"https:\/\/www.hometownhealth.com\/es\/wp-json\/wp\/v2\/media?parent=170757"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}